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Carol Clark, CNP
Family Nurse Practitioner in Indianapolis, Indiana
NPI 1770535502

Carol Clark is a Family Nurse Practitioner based in Indianapolis, IN and is specialized in Family. Carol Clark practices in Indianapolis, IN and has the professional credentials of CNP. The NPI Number for Carol Clark is 1770535502 and holds a License No. 71000959A (Indiana).

The current practice location address for Carol Clark is 9015 E 17Th St, Indianapolis, IN and can be reached out via phone at 317-898-3166 and via fax at 317-898-4219. You can also correspond with Carol Clark through the mailing address at 9015 E 17TH ST, INDIANAPOLIS, IN - 46229-2016 (mailing address contact number: 317-898-3166).

Location: 9015 E 17Th St, Indianapolis, IN, 46229-2016
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Provider Profile Details
NPI Number
1770535502
Provider Name
Carol Clark
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
9015 E 17Th St, Indianapolis, IN, 46229-2016
Phone Number
317-898-3166
Fax Number
317-898-4219
Provider Enumeration Date
05/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200307710 05 IN
P01016729 01 IN RR MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
9015 E 17Th St
City
State
Zip
46229-2016
Phone Number
317-898-3166
Fax Number
317-898-4219
person
Provider Business Mailing Address Details
Address
9015 E 17Th St
City
State
Zip
46229-2016
Phone Number
317-898-3166
Fax Number
317-898-4219
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Community Health
Taxonomy
License No.
71000959A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71000959A (Indiana)
Definition
Definition to come...
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